Thank you for your interest in becoming a patient at the Creighton University School of Dentistry. Please fill out the requested information in the form below, including contact information, availability, and your dental needs. All information received will remain confidential. The fee for the initial Assessment appointment is $66 for dental X-rays.
If you are in pain or have a dental emergency, please call the Acute Care Clinic at 402-280-4080 for an emergency appointment.
Please choose the days and mornings or afternoons you will available for an assessment appointment.
Which of the following conditions apply to you? Check all that apply. Click on the links below for information regarding these dental conditions.
Before submitting this application form, please read the Patient Resources. If you have other questions, please review the information in Frequently Asked Questions.
Directions to Clinic